Scholarlink

Background &amp; aims <p>Surgery is indicated for symptomatic CIS patients to avoid complications (volvulus, obstruction and strangulation) associated with high morbidity and even mortality. There remains limited evidence of the long-term outcomes and improvement of symptoms from this procedure. Previous studies have been unable to compare preoperative symptoms with post-operative data. Although it appears the procedure has favourable outcomes, further data are required to demonstrate a significant improvement in quality of life (QoL). We therefore aim to assess the long-term outcomes, including changes to QoL and satisfaction, for patients who underwent laparoscopic biological hiatal mesh reconstruction for CIS (100%).</p> Methods <p>Prospective data were collected from 154 consecutive GPEH (Giant Hiatus Hernia) patients intervened between March 2008 and March 2023 in a large DGH. Retrospective analysis of this identified 34 patients with CIS. All patients underwent a laparoscopic repair with mesh, apart from one patient who underwent conversion to open gastropexy.</p> <p>Outcome measures included both pre-operative and post-operative standardised GERD-Health-Related Quality of Life Questionnaire (GERD-QOL) scores; complications; and patient satisfaction.</p> Results <p>34 patients were included (11 male:23 female) with a mean age 72 (45–83) years. All patients were symptomatic pre-operatively with heartburn (59%), dysphagia (59%), retrosternal discomfort (53%), vomiting (41%), weight loss (41%) or shortness of breath (35%). There were 4 (12%) complications and 3 (9%) 30-day mortalities. Follow-up GERD-QOL questionnaires displayed 27/29 (93%) excellent scores (defined as total &lt;&#xa0;5) at 6&#xa0;months and 15/21 (71%) excellent scores after a median follow up of 8.5&#xa0;years. This demonstrated a significant improvement in long-term scores (<i>p</i> &lt; 0.001).</p> Conclusion <p>Laparoscopic repair of complete intrathoracic stomach in this large single-centre study has demonstrated a significant improvement in symptoms and satisfaction over a median 8.5&#xa0;years follow-up.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Long-term surgical outcomes for the surgical management of complete intrathoracic stomach (CIS)

  • 期刊论文

  • 发表日期：

    2026年2月20日

查看全文
  • Matthew Oxenham,
  • Shreya Pal,
  • Omkaar Divekar,
  • Roland Fernandes,
  • Sanjoy Basu

摘要

Background & aims

Surgery is indicated for symptomatic CIS patients to avoid complications (volvulus, obstruction and strangulation) associated with high morbidity and even mortality. There remains limited evidence of the long-term outcomes and improvement of symptoms from this procedure. Previous studies have been unable to compare preoperative symptoms with post-operative data. Although it appears the procedure has favourable outcomes, further data are required to demonstrate a significant improvement in quality of life (QoL). We therefore aim to assess the long-term outcomes, including changes to QoL and satisfaction, for patients who underwent laparoscopic biological hiatal mesh reconstruction for CIS (100%).

Methods

Prospective data were collected from 154 consecutive GPEH (Giant Hiatus Hernia) patients intervened between March 2008 and March 2023 in a large DGH. Retrospective analysis of this identified 34 patients with CIS. All patients underwent a laparoscopic repair with mesh, apart from one patient who underwent conversion to open gastropexy.

Outcome measures included both pre-operative and post-operative standardised GERD-Health-Related Quality of Life Questionnaire (GERD-QOL) scores; complications; and patient satisfaction.

Results

34 patients were included (11 male:23 female) with a mean age 72 (45–83) years. All patients were symptomatic pre-operatively with heartburn (59%), dysphagia (59%), retrosternal discomfort (53%), vomiting (41%), weight loss (41%) or shortness of breath (35%). There were 4 (12%) complications and 3 (9%) 30-day mortalities. Follow-up GERD-QOL questionnaires displayed 27/29 (93%) excellent scores (defined as total < 5) at 6 months and 15/21 (71%) excellent scores after a median follow up of 8.5 years. This demonstrated a significant improvement in long-term scores (p < 0.001).

Conclusion

Laparoscopic repair of complete intrathoracic stomach in this large single-centre study has demonstrated a significant improvement in symptoms and satisfaction over a median 8.5 years follow-up.